HomeMy WebLinkAbout113 Anderson AveIL
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Permit #: 0 1—It Lo 3
Job Address: f f3 'Ii1&P%S cc7
CITY OF SANFORD PERMIT APPLICATION
Date: ®Z /b G �/
l 0
oL g.0-2-7/
Description of Work: un Q n� P (>y1 .5 f 61 c (rMCY,—fl ser LL19-1H luc PbOt- LO '"'.
Historic District: Zoning: Value of Work: $ % co iN c C,
Permit Type: Building Electrical Mechanical Plumbing Fire Sprinkler/Alarm Pool
Electrical: New Service — # of AMPS Addition/Alteration Change of Service Temporary Pole
Mechanical: Residential Non -Residential Replacement New (Duct Layout & Energy Calc. Required)
Plumbing/ New Commercial: # of Fixtures # of Water & Sewer Lines # of Gas Lines
Plumbing/New Residential: # of Water Closets Plumbing Repair— Residential or Commercial
Occupancy Type: Residential Commercial Industrial Total Square Footage:
Construction Type: Q #roof Stories: L / r #^of Dwelling Units: Flood Zone: (FEMA form required for other than X)
C.
Parcel #� ( /�` J ` -C 00 C-7 IF 0 (Attach Proof or Ownership & Legal Description)
Owners Name & Address: CR/ l / t c Hyl s l.. 1 Ci i / ,O
/13 911c Prsc1gCQ- Sa n el PA- 3�/a7-7
Contractor Name & Address:,,nnr�S c / � IrI�IC.� l- P Ccli p rrl
Phone & Fax: i G
Bonding Company:
Address:
Mortgage Lender:
Address
Architect/Engineer:
Address:
12 L4 V(ti f i a t State License�- CC-/ Number: r7- C C -/?(O (o1
-4yCfDG� CoL/S C9 Contact Person:CI/(U Phone:
Phone:
Fax:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet standards of all laws regulating construction in this jurisdiction. I understand that a separate
permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and
AIR CONDITIONERS, etc.
OWNER'S AFFIDAVIT: I certify that all of the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating
construction and zoning. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of
this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies.
Acceptance of permit is verification that I will notify the owner of the property of the require is of Florida Lien Law, FS 713.
1131 LC j
Signature of Owner/Agent Date Si nature of Contractor/Agent Date
Print Owner/Agent's Name Print Contractor/Agent's Name
��.r----- //3/o7
Signature of Notary -State of Florida Date /Signature of Notary -State of Florida Date
Owner/Agent is Personally Known to Me or
—Produced ID
APPLICATION APPROVED BY: Bldg:
(Initial & Date)
Special Conditions:
Zoning:
Contractor/Agent is n Personally Known to Me or
Produced ID
(Initial & Date)
Utilities:
FD:
(Initial & Date) (Initial & Date)
un .....
............A O -C- 0-- -N.n...nnunnq Jf'
FION'NOR
}¢o`�rvGB1. CommilD00424343 r_S �.O
? _ Expims 5/1/2M
?; Bonded thru (800)432-4254:
��"iia r!cta.ryAsan., Inc
Crums Climate Control Inc. ....Since 1941 372 -
Air Conditioning, Heating & Fireplaces
980 Railroad Ave. Winter Park, FL 32789 (407) 644-6601
General Manager: Greg White, Email: greg@crumsac.com
/"i%e1•�.� I %1,rde�'S /-IZZ-c.7 7-3 >7
Proposal Submitted To: Date Phone W / H
l '-3 - )1_--& 'g 2 771
Street ( Job Location) City State Zip Code
1 P-11fl
Street ( Billing Address) City State Zip Code
We hereby propose : To furnish, install and service under warranty ( stated below ) products and service or related
equipment for your home or business in accordance with the conditions and specifications set forth in this proposal.
A/C Condenser L � 7—'7 ^ 64aef(m^,.
0 H/P Condenser
SEEP 13 KW— PKG SPLIT
Coil
Air Handler 372,
Horz R Horz L n Down — Vert
® Other
® Liquid Line ✓y«
Suction Line /�/C �✓ X17
Condensate Pump frainrline NCGJ
Lineset Protective Cover
Zoning _ Zones
® Supply Duct
Return Duct Direct Ceiling SW
Insulate Platform
9 New Platform�✓�
Air Purifier
Air Filter Type &'Size
Ale_
Sanitize
0 Duct Clean: Accept Decline
Duct Seal --:-Accept - - Decline
New Service,Upgradc
® New. Electrical to Condenser Disconnect
New Electrical to AHIJ Disconnect
NOTES
A/C Pad and Size Ce C -L
QI�I'UgZafl'Thermostat : Mercuryrogrammable
All work done in accordance with existing codes.
® Removal of existing equipment from the premises
All work to be performed in a neat and professional
manner by a trained technician. Sweeping, dusting and
vacuuming will be accomplished at the conclusion of
each day of work and all debris removed from the premises.
Warranty on Parts�Years. Condenser & air handler only
Warranty on LaborJ—Years. Condenser & air handler only
Warranty on Zoning Electrical
0 Warranty on Dampers
M Warranty on Compressor
0 Warranty on Duct Work
0 Warranty on Other
Total Price (tax included) $ v b�
F vc .J ele-,iocT✓ dollars
av
Terms:
-All Fin—ng & ding 'tJep
Signature (company)
Signature (customer)
Date: —a7 Proposal valid until:
Options:
Requested Install Date 1-17-07 A,;. (,.�
Finance paperwork must be signed before the start of work
BUYERS RIGHT TO CANCEL: You, the buyer, may cancel this transaction without penalty any time prior to midnight of the third business
day after the date of this transaction. See reverse side for terms and conditions.
Ifyou sign today to take advantage ofa discount, you have two weeks to cancel before installation.
Ift
low
Crums Climate Control, Inc®
Air Conditioning, Heating, & Duct Cleaning
June 13, 2006
To Whom It May Concern:
I h eby name and appo' t
_Z6rq C /1 01710
(Printed Name of Appointee)
C CCIn S C h mC1 P CCT --4r_(-_1
(Company Name of Appointee)
To be my lawful attorney-in-fact to act for mein applying to City of
Government Commercial/Residential Permitting for a permit enabling work to be performed at the
location. below -describe and to sign my name and do all things necessary to this appointment.
3 Section
Township
Range
Subdivision
GCC U Block
G� G Lot
113 ✓gn Cl -o'S oyi Project Address
C-4111on-13 Owner of Property
H-3 `4t/Pn cs<?- Owner Address
Signed:
Wr
(Brian Wrong, Certified Contra or)
License No: CAC0042669
Date: //31/Cl
Sworn to and subscribed before. me this day of GQ 20 0'7 by
who is Pe onally know a or who has produced
(identification)
Notary.Public
...............................
FIONA O'CONNOR
div C—Mg DD0424343
�!,*4 Expires 5/1/2008
980 Railroad Ave. Bonded thru (800)432-4254 Phone: 407-644-6601
Winter Park Florida 32789
nm��•` Florida Notary Assn., Inc
"" = Fax: 407-645-1698